Cornejo, Andres
Cornejo, Andres is an sole proprietor health care provider with primary practice located at 215 N Forest Ave , Mt Prospect IL 60056-2303. He recently has only one registered license in Hospitals / Chronic Disease Hospital, which is considered as his primary health care specialty. Cornejo, Andres can be contacted via phone (847) 255-4831.Contact Information
Primary practice address
215 N Forest Ave
Mt Prospect IL 60056-2303
Phone: (847) 255-4831
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Hospitals / Chronic Disease Hospital | 281P00000X | Illinois |
Profile Details
| NPI number | 1235269937 |
|---|---|
| LBN Legal business name | Cornejo, Andres |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Mar 7th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235269937 | NPPES |
| Illinois | Other | 847-10-58-0056 | MEDICAL EDUCATION |
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